Charles Patrick Garrick, LCP LCAC, TTS - Medicare Psychologist in Ottawa, KS

Charles Patrick Garrick, LCP LCAC, TTS is a medicare enrolled "Psychologist - Clinical" provider in Ottawa, Kansas. His current practice location is 1121 N Cedar St, Ottawa, Kansas. You can reach out to his office (for appointments etc.) via phone at (803) 599-0129.

Charles Patrick Garrick is licensed to practice in Kansas (license number 1444) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235346743.

Contact Information

Charles Patrick Garrick, LCP LCAC, TTS
1121 N Cedar St,
Ottawa, KS 66067-1503
(803) 599-0129
Not Available



Healthcare Provider's Profile

Full NameCharles Patrick Garrick
GenderMale
SpecialityPsychologist - Clinical
Location1121 N Cedar St, Ottawa, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235346743
  • Provider Enumeration Date: 05/16/2007
  • Last Update Date: 09/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335592880
  • Enrollment ID: I20240131002861

Medical Identifiers

Medical identifiers for Charles Patrick Garrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235346743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) LCAC00846 (Kansas)Secondary
103TB0200XPsychologist - Cognitive & Behavioral 1444 (Kansas)Secondary
103TP2701XPsychologist - Group Psychotherapy 1444 (* (Not Available))Secondary
103TC0700XPsychologist - Clinical 1444 (Kansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Patrick Garrick allows following entities to bill medicare on his behalf.
Entity NameAdventhealth Ransom Memorial Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407319957
PECOS PAC ID: 4486996907
Enrollment ID: O20190510001418

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Patrick Garrick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Patrick Garrick, LCP LCAC, TTS
500 State Hospital Dr,
Osawatomie, KS 66064-1813

Ph: (913) 755-7165
Charles Patrick Garrick, LCP LCAC, TTS
1121 N Cedar St,
Ottawa, KS 66067-1503

Ph: (803) 599-0129

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Psychologist in Ottawa, KS

Joshua D Hypse, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067
Phone: 785-242-3780    Fax: 785-242-6397
Dana Rene' Paquette, LCP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 204 E 15th St, Ottawa, KS 66067
Phone: 785-242-2183    
Andrew Lawrence Whitmore, LP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067
Phone: 785-242-3780    Fax: 785-242-6397
Jennifer L L'heureux, LMLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 204 E 15th St, Ottawa, KS 66067
Phone: 785-242-2183    Fax: 785-242-1859
Sage Bradley Shaw, LMLP-T
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 109 W 2nd St Ste A, Ottawa, KS 66067
Phone: 785-242-2991    Fax: 785-242-4401

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